Request for Living Wage Exemption

Living Wage Act – Local Law Number 6 of 2021
BASIS FOR A GENERAL EXEMPTION
Exemptions to the Living Wage Law may be granted by the Ulster County Purchasing Department,
as provided for in Section 5 of the Living Wage Law.

To be completed by Applicant/Employer/Contractor

We will send a copy of this form to our email for your records.